Job Description

Job Description

Job Description

***THIS POSITION IS FULLY ONSITE IN WOODS CROSS, UT*** Professional Summary

The Medical Billing Specialist is responsible for managing the full revenue cycle process, including claims submission, denial resolution, accounts receivable follow-up, appeals, and insurance billing activities for assigned healthcare locations. This role works closely with clinical, administrative, and revenue cycle teams to ensure accurate claim processing, timely reimbursement, and effective resolution of billing issues. The ideal candidate brings a strong foundation in healthcare billing and can quickly contribute with minimal training on billing fundamentals, while learning internal systems and processes. Success in this role requires strong analytical abilities, attention to detail, initiative, and a commitment to delivering excellent customer service.

Key Responsibilities

• Review, validate, and submit clean claims to insurance payers electronically and via paper submission as required.
• Monitor claim acceptance and proactively resolve claim rejections to ensure timely reimbursement.
• Research, investigate, and resolve denied claims, including claim corrections, resubmissions, and appeals.
• Interpret and analyze Explanation of Benefits (EOBs) and payer communications to identify payment discrepancies and denial trends.
• Conduct accounts receivable follow-up activities and take timely action on unpaid or underpaid claims.
• Review claims through EMR and clearinghouse systems to identify billing edits and ensure claim accuracy prior to submission.
• Collaborate with office staff, clinical teams, and revenue cycle personnel to resolve issues impacting billing accuracy and reimbursement timelines.
• Investigate accounts receivable aging reports and manage outstanding balances for assigned office locations.
• Resolve disputed balances and billing discrepancies within billing and EMR systems.
• Prepare and submit insurance appeals with appropriate documentation to maximize reimbursement opportunities.
• Assist in identifying workflow improvements that enhance billing efficiency, claim accuracy, and overall revenue cycle performance.
• Support management and training initiatives by providing guidance on billing, collections, denial management, and account resolution processes.
• Perform monthly variance analysis for assigned locations and communicate trends or concerns to leadership.
• Maintain detailed documentation of billing activities, account statuses, and follow-up actions.
• Respond professionally to patient, payer, and internal inquiries while providing excellent customer service.
• Partner with supervisors and revenue cycle leadership to identify compliance concerns, billing issues, and emerging accounts receivable trends.

Qualifications

• 2-3 years of healthcare billing experience required.
• Demonstrated experience with claims processing, denial management, insurance verification, and accounts receivable follow-up.
• Strong understanding of medical billing fundamentals and healthcare reimbursement processes.
• Ability to quickly contribute with minimal training on core billing functions and concepts.
• Experience researching and resolving denied, rejected, or unpaid claims.
• Working knowledge of EMR systems and medical billing software.
• Familiarity with clearinghouse platforms; experience with TriZetto or similar systems preferred.
• Strong accounts receivable and collections experience.
• Knowledge of claim appeals, payment posting, and revenue cycle management best practices.
• Excellent problem-solving and analytical skills with strong attention to detail.
• Self-motivated and able to work independently while managing multiple priorities.
• Strong verbal and written communication skills.
• Exceptional customer service skills and professionalism in all interactions.
• Proficiency with Microsoft Office Suite, including Outlook, Word, and Excel.
• Ability to identify process improvement opportunities and contribute to operational efficiencies.
• Must be able to work fully onsite in the Woodcross, UT area.

Position Details

• Fully onsite position, Monday through Friday.
• Flexible schedule with either an 8:00 AM to 5:00 PM or 9:00 AM to 6:00 PM shift.

Job Type & Location

This is a Contract to Hire position based out of Woods Cross, UT.

Pay and Benefits

The pay range for this position is $22.00 - $25.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Woods Cross,UT.

Application Deadline

This position is anticipated to close on Sep 4, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

Job Tags

Contract work, Temporary work, Work at office, Monday to Friday, Flexible hours, Shift work

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